Individual
ALLISON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMSC PA-C
Contact information
Practice address
310 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
Mailing address
1676 RIDGEMOOR DR SE, GRAND RAPIDS, MI 49506-5143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0002345
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/08/2024
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